Gadea, Shayne Marie

Gadea, Shayne Marie is an individual health care provider with primary practice located at 12951 Walsingham Rd , Largo FL 33774-3538. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gadea, Shayne Marie can be contacted via phone (727) 391-0158.

Contact Information

Primary practice address
12951 Walsingham Rd Largo FL 33774-3538
Fax: (727) 392-5192
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME75560 Florida

Profile Details

NPI number 1881619716
LBN Legal business name Gadea, Shayne Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881619716 NPPES
Florida MEDICAID 254639600

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